RN Utilization Review Specialist
HealthCare Support
A leading healthcare staffing firm is seeking a Utilization Review RN in Syracuse, NY. The role involves conducting utilization management activities, certification reviews, and collaborating with healthcare providers. Candidates must have an RN License in NY and at least two years of experience. This position offers a stable work schedule from Monday to Friday and an opportunity to work with a prestigious employer in the healthcare sector. #J-18808-Ljbffr Healthcare Support Staffing
- ...HUMBLE VASCULAR SURGICAL CENTER INC in Addison, Texas, is seeking a dedicated RN Case Manager to oversee utilization reviews and discharge planning. The role involves ensuring compliance with medical necessity guidelines while collaborating with physicians and interdisciplinary...Suggested
- A healthcare organization in Texas is seeking an RN Utilization Review Coordinator to perform utilization reviews and ensure medical necessity compliance. The role involves collaborating with healthcare teams, managing denial appeals, and supporting discharge planning....SuggestedFull time
$70k - $100k
*Description* Methodist Surgery Center, part of the Surgery Partners network, is seeking an experienced Utilization Review Specialist to join its team in Addison, Texas. This position is ideal for someone with many years of experience doing Utilization Review who can quickly...SuggestedPermanent employmentRemote work2 days per week- A leading medical review organization is seeking Board-Certified physicians in Gastroenterology for a flexible remote opportunity. This role requires conducting independent Utilization Reviews for just 1-2 hours per week, with no minimum commitment. Candidates must have...SuggestedRemote workFlexible hours
- ...About the Role The Utilization Review Coordinator plays a critical role in ensuring that patients at our facility receive the appropriate level... ...behavioral health or chemical dependency setting. Licensure: Current RN, LCSW, or LPC license preferred. Skills and Competencies: In-...SuggestedFull timePart timeWeekend work
$16.74 - $26.92 per hour
...Utilization Review (Ur) Intake Specialist The Utilization Review (UR) Intake Specialist provides staff support services including typing reports and correspondence, file handling and forms completion in addition to answering incoming telephone calls, supporting the...Hourly payMinimum wageFull timeWork at officeLocal areaFlexible hours- ...With level of care screening criteria such as MCG or Interqual, CMS regulations as related to hospital admissions, Utilization management or utilization review, and interfacing with health care payers/regulatory agencies. Benefits Becoming an AMN Healthcare...Temporary work
- Job Title With level of care screening criteria such as MCG or Interqual, CMS regulations as related to hospital admissions, utilization management or utilization review, and interfacing with health care payers/regulatory agencies. AMN Healthcare
$2,150 per week
...AMN Healthcare Nursing is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Syracuse, New York. Job Description & Requirements ~ Specialty: Utilization Review ~ Discipline: RN ~ Duration: 13 weeks ~36 hours per week ~...Temporary workLocal areaImmediate startShift work$65 per hour
...RN Case Manager / Utilization Review - Syracuse, NY (#25268) Location: Acute Care/Academic Medical Center, Syracuse, NY Employment Type: Full-time Hourly Rate: $65/hour About Greenlife Healthcare Staffing: Greenlife Healthcare Staffing...Hourly payFull timePrivate practiceMonday to FridayDay shift- ...Utilization Review RN Are you seeking an impactful nursing role? As a Utilization Review RN, review cases to determine medical suitability for insured patients. Your expertise shines through meticulous clinical reviews using established criteria. You play a key role...ReliefLocal area
- ...Description Day to Day Responsibilities: Conducts utilization management activities in accordance with... ...to calls, conducts certification reviews, facilitates the discharge planning and referral... ...AT (***) ***-**** ASAP! Qualifications RN License in NY with 2 years of experience...Hourly payCasual workPrivate practiceWork at officeImmediate startMonday to Friday
- ...RN Utilization Review Coordinator The RN Case Manager/Utilization Review is responsible for performing prospective, concurrent, and post-discharge utilization reviews to ensure appropriate patient status, medical necessity, and compliance with hospital policy, payer...Full timeLocal area
- Job Summary You supervise utilization review for RNs. You oversee processes daily. Guide on complex cases. Identify staff education opportunities. Connect departments through communication. Job Summary You supervise utilization review for RNs. You oversee processes daily...Work at office
- A healthcare institution in Addison, TX seeks an experienced Registered Nurse (RN) to oversee the Case Management team focusing on Utilization Review. Responsibilities include managing departmental operations, ensuring compliance with regulations, and improving care coordination...Full time
- ...As a Mental Health Intake Specialist - RN, your voice to influence patient care is valued and... ...interventions within the Recovery Plan Utilize teaching skills related to psycho educational... ...Intake Specialist - RN opening. We review all applications. Qualified candidates...Temporary workImmediate startFlexible hours
- ...Utility Analyst Provide analytical support to the Utility Manager, enabling effective and reliable operational support of all utility... ...to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor....Local areaOverseasVisa sponsorship
- ...Seeking a detail-oriented and organized Utility Specialist to join our team. In this role, you will be responsible for managing the end-to-end... ...to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.OverseasVisa sponsorship
- Baylor Scott & White Health in Dallas, TX seeks a supervisor to oversee Utilization Review for RNs and guide daily processes. The role focuses on complex case guidance, staff education opportunities, and interdepartmental communication to enhance care quality. Responsibilities...
- ...RN II - ECMO Specialist RN Team Lead (Nights) WHY UT SOUTHWESTERN? With over 75 years of excellence... ...'s family needs and expectations and utilizes these in conjunction with the assessment... ...patient/family participation in care. Reviews personalized patient plan of care with...Hourly payFull timeShift workNight shift
- Benefits We Offer: Comprehensive health, prescription, dental, vision, life, and disability plans Competitive pay rates Referral opportunities ? Refer a friend & Cash in! Travel reimbursement and per diem allowances Employee discounts Educational opportunities...Daily paidLocal area
- UT Southwestern Medical Center is seeking an Utilization Management Coordinator on a PRN basis with availability from 7am to 10pm. The role supports faxing initial, concurrent, and discharge reviews to insurance providers and documents information in EPIC. It involves handling...Relief
$90k - $100k
...from Principle Services, LLC Field Safety Specialist We are seeking a highly skilled and... ...operations, specifically within the Electric Utility Industry on Substation and Transmission... ...Support the development and review of safety plans, wire-pulling plans, site...Contract workFor contractorsWork at officeLocal areaRemote workFlexible hours- EMPOWER - OASIS Review Coding Specialist job at EMPOWER. Richardson, TX. GENERAL PURPOSE Accurate and timely coding and review of home health... ...to overall quality improvement efforts, and manage visit utilization. ESSENTIAL FUNCTIONS Review and analyze OASIS assessments...
$1,100 per week
...Registered Nurse - Case Manager/Utilization Review VHS is looking for a qualified Registered Nurse - Case Manager/Utilization Review. City: Syracuse State: NY Start Date: TBD End Date: TBD Duration: 13 Weeks Shift: 8 Hours Days. Skills: Nursing...Weekly payDaily paidLocal areaShift work- A leading healthcare organization is seeking a full-time remote RN responsible for validating medical necessity in the insurance industry. This role involves performing medical reviews on claims and requires a nursing license, alongside experience in claims processing...Remote jobFull time
$40 per hour
...time remote Candidates must be based in TX. RN working in the insurance or managed care... ...for performing initial, concurrent review activities; discharge care coordination for... ...guidelines. Provides information regarding utilization management requirements and operational procedures...Remote jobFull timeContract workWork at office- Summary The Utilization Review Nurse is responsible for determining the clinical appropriateness of care provided to patients and ensuring proper... ...LVN license in the state of employment or compact required RN license in state of employment or compact preferred Work Schedule...Full time
- Utilization Review Nurse for Workers' Comp Job Purpose: Review Workers Compensation requests submitted by the provider, requestor, claimant or... ...Qualifications: Graduate of an accredited school Valid current RN license in good standing Able to perform the professional and...
$16 - $18 per hour
...procedures. • Maintains photo equipment and utilizes store systems and technology to support... ...continuity during times when the Photo Specialist is not scheduled. • Follows company... ...role will remain open until filled. To review benefits, please click here jobs.walgreens...Hourly payWork experience placementSeasonal workFlexible hoursAfternoon shift
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